WQ0024320_Monitoring - 10-2016_20161128

NON -DISCHARGE APPLICATION REPORT Page 1 or 2$
SPRAY IRRIGATION SITES)
THERE ARE TWO APPLICATION FIELDS PER PAGE. WE ADDITIONAL PAGES AS NEEDED.
PERMITNUMBER W00024320 MONTH: Odober YEAR: 2016
FACILITY NAME: Rockbridge COUNTY: Wake
Formulau:
DaNy L-dlnp (inch-) - fllo�rtx Appi�d (pxlb u) x 0.1 8 (w6fe toevpa ion) k 12 Qncbesltooq) /(AMp 66re red rxnxx) x�7 50C (edam teMlaW}) oft
•WM�maMa�(Ssulbne)ewe.&,�aYM(eaoe)xz�.�5x19p��awamaq) .
Maxlmum Hourly Labding (Inch„) • Dxuy 4&WkV (hd9 )I PUM Haled "rpatn)100 ((ejinuteeroouhl Mon(h!y L9amnp (Ifttwo) - sum et Duey Lowkw ono.)
12 Month floaMny Total (IAtha) -Sum ertmx uWAh'e Mmft L mnrq 060ms) wW F wAm* 11 momhb MnNhy Lordbw (bolas)
Spray irrigation Opendor in Responslble Charge (ORC): Dale Mathews Phone: 91"91-1056
ORC CertfHCetion Number. 22794 Check Box if ORC Has Changed: [D
Mall ORIGINAL and TWO COPIES to:
DfNR ` ^
Division of Webr Quality t
ATTN: Information Processing Unit (IG OF PI_RATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center DY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27$99-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
OENR FORM NDAR-1 (11R00b)

NON -MSCI LARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADOMONAL PAGES AS NEEDED,
PERMIT NUMBER WQ0024320
Page 2 of'23
NORTH: October YEAR 2018
FACILITY NAME: Roc) a COUNTY: Wake
FMT►t1lii: -
Dally I.e"n9 uncia) ' M&m»Apwd (p mml xo 1=(0A4C S *bWlw) x 12 (wN0lWl Ito■ Bon1.d (60* K43,550 oqa ftdtAC*1 CA
"FM APOW 04440 IV= spnl.d (off" X27,152 Wffbrmft=4n0)I
MaAn-n H -ft UmWnO pnd—) ' Dm➢ Woft Owm) I pm k1wb "MAN) /w (mnd"4ftol Mvntfihf LoaGY1g (inches) - Bum m o.y t oidrps Onthes)
12 McMh Ff"Une Thal WNW) . Sum of Oda MMM's M WdM LSOM 0.dml rx1 MIMM 11 6 er w,.n.w i
Spray IrdVatlan Operator In 110011en6ibie Charge (QFtC). Date Mathews Phone; 919-691-1955
ORC Cvrtlilcatlan Number. 22794 Check Box If ORC Has Changed: 11
Mail ORIGINAL and TWO COPIES t0: .
DENR :l? lbf:eil7�Qd 7d4 Df l�1iti t!4%1R ]�ai)¢ }f h. .
Division of YMater Quality Liz?a.
th�s.pa is
AT7N: Informatleq ProDeeaing unit (51ONATURE OF OPERATOR IN RllspoNsiuLE CHARGE)
1617 Mail Service Center 13Y THIS SIGNATURE. 1 CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 2Y$99-1817 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

NON- DISCHARGE APPLICATION REPORT Page 3 or 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICAt10N FIELDS PEA PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: VM0024320 MONTH: October YEAR: 2016
FACILITY NAME; Rockbridge COUNTY: Wake
Formulas:
D2Xy Wdlna IlnCh-) • 14elum�ApWed W■mm) xo.tas0 t�ao+.wperon) x u cnrn.anoetll l W.a aprrw pea) x4a,5E0 c q.■� 1.«tacren are
- VWum■Applfl4 (pllbn�! Vim■ 8proyrd tauv■) z 17.7 Si (p■Mme7aoaNm)]
Muuimum Ro..ty LouAeA P 1 • o■N Ladioo prL■s) r (tynr Mprtad U��+:■■>!00 6mmnmc.rll Monmb LoWIft tIrw1m) . &m crock n i
Spray Irrigation Operator In Responsible Charge (ORC}: Dale Mathews Phone: 91"91-1056
ORO Certification Number: 22104 Chock Box If ORC Has Changed: 13
(Nail ORIGINAL and TWO COPIES to; • , . . • . • • , • • . . • . • , • .
DENF2 :I�fe�ea pC;rbptt�allatimute'gd 6 y� a� to+r i�olrli-ti�ae i� ia;
Division of (Nater Quality : ; : ::: ;84psretl;upoh•If1i8:ga(ta: :::::
ATTN: Information Processing Unit '(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mall Service Center 9Y THIS SIGNATUIM l CERTIFY THAT THIS REPORT iS ACCURATEAND
RALEIGH, NO 27699.1817 COMPLETE TO THE SIEST OF MY KNOWLEDGE.
DENR FORM NDAR.1 (1112005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION $ITI:($)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED,
PERAaT NUMBER W00024320
MONTH: October
FACILITYNAMF: Rorkbrid a COUNTY:
Fof)tlulas:
D@ayLoa[lop( ►'M—AWN(wbro)x0.133®(abk%VAPeon):12Cegh*& IIAm■SP"(jaee)n43.100squ Waav)) OR
Maximum Haw>) Lor ds hof ' V*k—APPW %MGM$) I µ,ac spnpd (acW) x 27,152 U7+�asl�a►i kh))
Pepe 4 of 23
YEAR: 2016
Wake
n➢ OM ) ' w ���+q (inetaoa) r In a. Mpaa4d (a1 uir,) r m u wmanN M-MIy L-dhap (lrrchas) +s,m m nmy L"dtga Mia„)
12 Month FfWnp TbUl (ktchgQ , sam ut tela morM%Morentr Lw k, O atl ana. m o. _ 11—W. —, .,-,w.,..
Spray Irrigation Oporutor In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Check Box If ORC Has Changed: ❑
MNI ORIGINAL and Two Copes to: .. . • , • .
4ENR :1?te�ed Rtctt}iz>llgtidXuie:o0Sag� F b t�i4s t�q,�,F-7 is 1� tt� :
Division of Water Quality �a�pe�Fpd;lipbn.l#�e9;papi:
ATTN: Infgtri/etian FMoreSoing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)• .
1617 Mai) Service Cooler BY THIS SIGNATURE, I GERT)Fr THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27688.1817- COMPLETE TO THE BEST OF Ian KNOWLEDGE
DENR FORM NDAR-1 (IV2005)

NON -DISCHARGE APPLICATION REPORT Page Sol z3
SPRAY IRRIGATION SITEM
THERE ARE TWOAPPLICATION RELOS PER PAGE, USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER, M0024320 MONTH: October VPAR: 2018
FACILITY NAME: RoGkbfidge COUNTY: Wake
Formulas:
Wily Loading (Ina1m) .IAWm+AP*d twk m) 10,1336 (cubic 1NWgx%od)>a 12 (nm+sraop) I (Mee apmVed (naae) x 4a.mo t+q..A(# f"UMM)l oR
• VQIUNe Applied (q+sone) I We+ "YQ4 (nave) xzn,1 ss (glUzA�)I
MsYlmum Hourly Loading (Inches) -+y r oodtnp Pr a,es> r Ifm» irtea 1nr uus) r P9 (nvwteemduq) Monthly Longing Unchea) • sum orOaiy ia.es pngyn}
12 l)ronth Flostlnp To1aI (Inchn) . sun of Ihb monm] wmny toodYq Pte) and dmvbus 11 mwfNh Monmh Lomxvm rte...,
Spray Irrigation Operator In Rssponolble Chargo (ORC): _ Dale Mathews Phone: [phone]
ARC Cartlftaatlon Number: 22794 Chock Box M ORC Has Changed: 11
Mall 0121GINgl and TWO COPIES to: ;� aCcb�ft #j�ir�tir.Rdg® 1; o#this I�fDr�F? y;dR
DENR
Division Of Water Quality 8�►psdt9d;upetrl7S;pffipR:
ATTN.' Information PMG"sing UnitSIGNATURE OF
{ OPERATOR IN RESPONSIBLE CHARGE)
1017 Mail ServIC6 Center Ay THIS SIGNATURE, I CERTIFY THAT THIS REPORT 18 ACCURATE AND
RALEIGH, NC 276994817 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NOAR-1 (11/2005)

NON-DISCHARGE APPLICATION REPORT Pao* a of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADIXTIONAL PAGES AS NEEDED,
PERMIY NUMBER: M0024320 MONTH: October YEAR: 2016
FACILITY NAME: RoCkbridge COUNTY_ Wake
FormuM$:
OaaY Loading (ieeMs) - llbNxoroAppNw (pwNona) x 0.1its6 (outro Nea1�NaN x 12 rywh..�noa)! I/�. SW.Yed (�) x 43 W OW.re I..I m)] OR
' VoknM A00W mao I W" a rsyw (.crest x T7.i 57 (DjNane .a kwh))
Maxlmum►lax+ylnadingQncnaa)-D.Ny�q(�)![rlono.ra.l.aVdeuta)l00vnr+de.meurp NbrRtdYi.o.alrg(Fneu.$)-6w„ord+W:�.tl�+palt+�s)
12 UwM F1o0np Tofal (Inohaa) - Ste, ra mos ffwfMtjY Monson wwno Oxham .nn ,< ss wM. u....e.,....a..,.. e..�....
Spray Irrigation Oparstor In Responsible Charm (ORC): Date Matthews Phone: [phone]$
ORC Cortllicatlon Number. 22794 Check Box if ORO Has Changod: 0
Mail ORIGINAL and TWO COPIES to:
DENR :P(g>I$ Pt t;Filgitj:Q1', 3?Af�4 y' Ai tk+ NAR'a:d4 +f; -
Division of VVator Quality ;alppokiod;upotrtiil!<�pape.
ATTN: InformaWn Prppgssing UnitSIt3NATURE OF OPERA : ;
1817 Mail Service Corder( TOR IN RESPONSIBLE CHARGE) ,
BY T14LS SIGNATURE_ 1 CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH. NG 27699-1517 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11)2005)

NON -DISCHARGE APPLICATION REPORT Page 7 of 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICAMON FIELDS PER PAGE. USE ADDIl1QNAL PACES AS NEEDED,
PERMIT NUMBER; W00024320 MONTH: October YEAR; 2016
FACILITY NAME: Rockbddae COUNTY. Wake
F6hnuka:
DHiy Loading (IndtM) • lVourm apPOM1 (O�Nmst x D.tag6 (calk kenflason) s 12 O.�ee+bet11 / IJwI Spayed gents) +� ��.' ppur+iwYAde)I OR
• troenr AOd� to.�+)1 N�++ �+lrod pew) n27,taz IWlaNhay.mcNl
Mulmam Nnmiy Watling (intim) + DNb LoanYp 4hgbe) f (line lap.++d (Yi deei / ao (mn +q1 Mwghb �oadwg (Y�ahasl � dun or PaMr Lwargs 0+�)
12 Moldh Hosting lord f1whry _ Sm of nus mo kA -S MWW ln.aM (kdnet and malar 11 amort ■mmh6l ®n.N. n,M•..�
Spray Irrigation Operator In Responsible Charge (ORO): Dale Matltewa Phplls: 919$61-1056
ORC Certfflaation Number. 22794 Check Box If ORC Har Changed:
Mall ORIGINAL and TWO COPIES b: , • . • . • • , . • . • , , . , .
;ell il�e:tiu :!; b tars tdDAfj-]=as ]� R'
DENR � :F;g�B iCc�it 9�i�99
Division OWlifti,Quality eppsilibif;lip<►p.t�►i@:gagi:::
ATTN: Information Promsing Unit {SIGNATURE OF OPERATOR IN RESPONSIBLE• �.
CHARGE)
1817 Mall Service C*nW BY THIS SIGNATURE, I CMTIFY THAT THIS REPORT ISACCURATE AND
RALEIGH. NC 2769(1.1417 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1111005)

NON -DISCHARGE APPLICATION REPORT Papa w 23
SPRAY IRRIGATION SITE(S)
THERE ARE TAfOAPKICATION FIELDS PER PAGE. USEADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00024320 MONTH: October YEAR; 2010
FACILITY NAME: Rotkbrklpe COUNTY: Wake
Formulas:
4.11>• LoamnO Mf lYalun+• �va•ed (a•) o.ts�e (wbk tadpam•n) r t2 a++ol I W �siea teoa.l: ea,am Muer uerhem:l an
Vd—ApPOW ( 0m) I Ma "YO (saes) ■2Y.1&2 WAWWa,*4A
MAkhULe4Haa1yL6M"Pnohssl•Daly lamft(•mh•z)Ipwolit Wcs•bm•lm)Iea(MMA65AMWI
SPr+y Irdyation Oper*Wr In Responsible Charge (ORC): Dale Mad*" Phono; 919.891-1056
ORC Certification Number. 22794 Chock Sox If ORC Has Changed: 13
MAN OFOGINAL and TWO COPIES to: - • , . , , . ... , • . • .. ,
DENR :ISoa ;G ilt:cf ;aipri :oc 31agt 3; a# tf"t* WbJ► 7;rii f4 �
Division of Water Quality : ; ;aIin;tt►i6�pigi;
AYfN: Information Proossatng Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)•
1617 Mail Service Center BY THIS SIGNATURE. I CMnW THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27899.1a17 COMPLETE: TO THE BESTOP MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES A$ NEEDED.
Page 9 of 23
PERMIT NUMBER VVQ0024320 MONTH: October YIFAR: 2016
FACILITY NAME: Rockbridge COUNTY: _ Mko
Formulas:
V40Y Loading enehss) • 1 � (p.ak ro) 1 O.taae (Dude 4fYpNlan) x tz 1)ndlasAfop] ))Ale• apt y.n (Deet),\ A,eoo eras+� �VMn)1 oR
■ Yoes" ApMed (e•ams) / Mo soared (acm) a 27.157 (oanm siva.-nGi1)j
Maximum Hourly Loading (Inehss) - Daily LNdlgl Maw) I mm. utaad (m➢wbf)1 ao (ffrowhauq) Mwtthy Losdhtg Phi - Sual a o.:y tmdspf )
12 Month Floa0r19 Tofat (MChss) -Sum areas wwWO Mamidy La" (maMf) fad peMws it moeah'a Haling Lmdtps (aldlea)
1v-,- • YWYI_ 1 w-.Ilnw hwW\ .��� �_... _ _
Spray Irrigation Operator In Responsible Charge (ORC): Dale Malhows Phone: [phone]
ORC CertMeation Number:. 22794 Check Box If ORC Hai Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Procemsing Unit
1617 Mall Service Center
RALEIGH, NC 27699-1617
:Ppec(y(t aCth ,digt►dt}!}e:on i74*,f of thb t�, Fi-vas 74 (t;
�''alPpskrBil:up®h•tfils;pagg:. _ ... .
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
By THIS gIGNATURE, I CERTIFY THAT THIS REPORT 13 ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
1)
DENR FORM NDAR-1 (11,Q005)
Did. Mcur On This Fluid.
Didifirigulan
OCCUrOd Tills Field!
Yes:
No:
Ya
No:
\ :
FIELD NUMBER.
I 0_Nr=
FIELD NUMBER:
10
AREA SPRAYED (acres).
1.03
AREA SPRAYED acm ;
0,26
COVERCROP-1
Na
COYER CROP•
rtla
'
PERMITTED HOURLY RATE (Inches):
0.3
PERMITTED HOURLY RATE (lochs):
0.3
DI WEATHER CONDRION9 1
PERMITTED YEARLY RATE Inehea :
48.7
PERMITTED YEARLY RATE Inehss '
48.7
A swrsw
Maximum
Maximum
T 1Wetlwr
Volume Time
Dally
Hourly
Voiumf Tims
Dally
au
Hvurly
E coot' a1. kMie11 P/f*6vard
A lied Irrl d
I-mclin
Loadin
fled aced
LOailn
Lr
Inches fast
0a s s
Inehss
es
W ens minutes
InchM
1 CL
z CL
31 C 18.0
4 1 CL 17.8
5 CL 17.8
a CL 1 17.7
7 R 1.50 17.5
a R 1.00
0 CL
10 CL 17,3
III PC 1 17.3
141 C 17.3
131 C 17.2
1141 PC 17.2
151 PC
161 C
'171 C 17.0
18PC 16.9
.
19 C 16.9
20 C 16.8
21 PC 16.6
22 PC
2s PC
241 C 15.4
' 71 15.2
89 16.2
71 16.2
16.2
L
.71 1 16.2
T0141 GallonsMonthly Loading (Inches)
0
O.Op
0 ' •' •' •
0.00
12 Month Floaad Tool (Innes)
•
7.88
13.33
Avfraga Waaaty Loading (Inch**)
:
0.00
7 • C
0,00
Spray Irrigation Operator In Responsible Charge (ORC): Dale Malhows Phone: [phone]
ORC CertMeation Number:. 22794 Check Box If ORC Hai Changed:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Procemsing Unit
1617 Mall Service Center
RALEIGH, NC 27699-1617
:Ppec(y(t aCth ,digt►dt}!}e:on i74*,f of thb t�, Fi-vas 74 (t;
�''alPpskrBil:up®h•tfils;pagg:. _ ... .
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
By THIS gIGNATURE, I CERTIFY THAT THIS REPORT 13 ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
1)
DENR FORM NDAR-1 (11,Q005)

NON -DISCHARGE APPLICATION REPORT Pasaa 10 01 23
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PF.R PA(;E. USE ADDITIONALP GES AS NEEDED.
PERMIT NUMBER; W40024320 MONTH: October YEAR; 2016
FACILITY NAME: Rockhrid a COUNTY; Wake
Formulas:
only Loaelnq (fiahesl - Ivonmrapprd (DrM ) x o.tsae (a ek �N!lpMOn) x tI t n+oUl IA�e 6RMd haat x41,560 (awe w.u.aq) OR
• VO4mM:ened Woo n1: Wa Sowed (.ars) Y27,15t Wjkxelaae."j
MaxIMUM HOurry Loedlop (Mahn) - Dory Lo" (W4) I (rine b (n+rrAM) I OO (menrestlnu Menudy Loateng (Y1ChM) • Sum ad D.OY Logy erKh.o)
12 Mon* Fiaitlng Total (Irmfmi -sum mtar mdrhy Mondry Lo" Poaa) SM yrs tt mnrMy Mw* LOr aw (Wry)
AwnoOlNpWrLwd4�onneh..t.nw.nwan.,ti...,...,...,...,,.,�•,.�..,��_--��----_... - ---- ----
�' :
FIELD NUMDER 10-
•
AREA SPRAYED acres 0.29
•
COVER DROP: nla
• •
' • ' ' • ' • '
PERMrTTED HOURLY RATE (indhaa):
0.3
OI WEATHER CONDITION$
PERMITTED YEARLY RATE nchea :
48.7
A
Maalmw
T P+he(..a l
volume 111M Epley
I
Hourly
E crbn Pr.c traJlgr flm4m" 1
Applied1 Irrinated LOadtna
Lmellm
Vblume I Time I Dally I Hourly
-WWI walmnslmonmly Loaatng (Inorp" 0 0 0.00
1Z Month Fbatfn Total pnehse 32.68 . • Q.00
Average Weekly Loading (Inches) :: • :.: • : • • : : • 0.00 • . : • : 0.00
Mther ea: a , y
-Parry oioa , Civeloudy, R a
_ nnM •.a
Spray Irrigation Operator in Responsible Charge (ORG): Dale MQthem Phone: [phone]
ORC Certification Number. 22794 Check Box If ORO Has Chahged:
Mail ORIGINAL and TWO COPIES to: . • . ' , • • . - .
DENR M. 1E a
Division of Water Quality : : : : : : : : : . :.::.BtpAa!:
A`YTN: Information Processing Unit ($IGNATURE OF OPERATOR IN iIkwo fiIBLE CHARGE) •
1517 Mag Service Center SY THIS SIGNATURE. 1 CERTIFYITNAT THIS REPORT 15 ACCURATE AND
RALEIGH. NO 276884817 COMPLETE TO THI: BEST OF MY KNOWLEDGE,
DENR FORM NOAR-1 (1112 x)5)

NON -DISCHARGE APPLICATION REPORT Page 11 Of 23
SPRAY IRRIGATION SITES)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEEt1ED.
PERMIT NUMBER: W00024320 MONTH: October YEAR: 2016
FACILITY NAME: Rockbdd a COUNTY: Wake
Formulas:
Dally Loading (Inchssi ' IVatuma Appapp (palbnN x g.iSae (ptplo Iaaypa roN x 1$ pKAaaiioo4l l TUaa Bpreya! (sada) aI9 5m (agaam haoloor■11 on
' ase VOaAMkd (Galans)1(Arad 6p�f pons) X 27,152 (ga1ons1acWjr4)1
alaaknuM Hog11y Loading (Inchaa) "Daly LOWN PK46) I Mm ingmtl (rr*u al /w lminwalhoudl 111101WHY Leading llncrm) - aumof Daily Lwd" o.%n)
12 Idooth Flaaung Tofal Imelm) - sum Maus mwm a Momaly LMOLN (ftW) and praldouf 11 u OnWa MoathN Loadteoa fl mm sl
SPn W Irrigation Operator In Reeponalble Charge (ORC): Dale Mathews Phone: 91"91-10%
DRC CartH(cation Number; 22794 Check Box If ORO Has Changed: ❑
Mall ORIGINAL and TWO COPIES to: lJQ�Fi-9 at's
DENR :?fes al:cbJA �1 1i.44:gdiMaga 7:81th
Division of Water Quality d�pa�Ii6if;li$eh;(t►1�:quo:
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)'
1617 Mail Service Center 9Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT L4 ACCURATE AND
RALEIGH, NC 276994617 COMPLETE TO THE $EST OF MY KNOWLEDGE.
CENR FORM NDAR-1 (11/2408)

NON -DISCHARGE APPLICATION REPORT Pam 12 or 23
SPRAY IRRIGATION SITE(S)
THERpARE TWOAPPLICA11ON FIELDS PER PAGE. USE ADDITIONAL PAGESAS NEEDED.
PERMIT NUMBER: WQ0024320 MONTH: Wow YEAR: 201$
FACILITY NAME: _ Rockbrfte COUNTY: Wake
Formula:
D`Vy Loadlnp (1ndM*) • f*k1 to AOPftd (Olt" V 0." (Cw k te.rp.eon) x 1 a (I�dMenwal+(ti•a dg im ham) XA &wpm" *dmae)) OR
• 110YNIM AppIi1C (9/Mans)+G�e� BPIaY*d Uaos) x z7,t6Z (gWknahaaklai)I
Aeaxiewm Hourly Loading prwhee! • Deka (-eod�,o ams)+fT�l� �r�atea altn�(�)+ao tmL„u�eemoon) Menlh►y tvadfnp (snche.) • 6�m a D.er Lowng� (rocnsN
1a McMh Fbatlny Tafai (Yxhre) • BIIM a mlo motRhY eeanPey LoaEeg 4nd1.+) ono P'el'bin 11 mm kjon a Lawkw (k j.)
Awrape yYreluy Leatliryp (klehea) . m—iy LeudMe @IGleertlla ul) r Numt a eel a m ma rm1U1(ea.smm� l v x m
/ 11 1 /.1 yppppy
$PmU I1IT111001 OPsrMtar In Responsible Charge (ORC): Del@ Mathew$ Phone; _ 919$81-1058
ORC Certification Nuetber: 22794 Check Oox K ORC Has Changed:
Mail ORIGINAL and TWO COPIES to: • • , . .. • . , , • , • .. .
DENR :'cl;:sig7h;te: g!?9+):i 0#Is NDI�Fa-7 �ga iE q;
Division of Water Quality 'a�pepi98:upbh:q�d9 pigi:
ATTN: Information Processing Unit" '' • '
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) • . • • : • • '
1617 Mail Service Cotter BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NPAR.1 (112005)
Yes: No:
Yua: No;
YON",
NUMBER: 1 C
FIELD NUMBER• 1
AREA SPRAYED Ilene : 0.28
aeras ; 1.22
COYER CROP: Na
COVER CROP: Iva
PERMITTER HOURLY RATE (indhesr
0.3
PERMITTED HOURLY RATE (Inches):
0.3
D WEATHER CONDITIONS
PERMITTED YEARLY RATE ashes):
23.9
PERMITTED YEARLY RATE Inchas -
23.9
A eer.®.
T + ltnxpar�w LUpOae
On9a' IF,
Volume T{me Dmlly
Maximum
Hourly
Vohrrno Time Dall
ax mur
E .e tlerloa MI.i ta�ml ae-beW
.- Al)Gllid IrHOabd Lead►na
I.u�lwn
•....a.w Y-
.�� rly
/ 11 1 /.1 yppppy
$PmU I1IT111001 OPsrMtar In Responsible Charge (ORC): Del@ Mathew$ Phone; _ 919$81-1058
ORC Certification Nuetber: 22794 Check Oox K ORC Has Changed:
Mail ORIGINAL and TWO COPIES to: • • , . .. • . , , • , • .. .
DENR :'cl;:sig7h;te: g!?9+):i 0#Is NDI�Fa-7 �ga iE q;
Division of Water Quality 'a�pepi98:upbh:q�d9 pigi:
ATTN: Information Processing Unit" '' • '
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) • . • • : • • '
1617 Mail Service Cotter BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NPAR.1 (112005)

NON -DISCHARGE APPLICATION REPORT, Page 13 of 23
SPRAY IRRIGATION SITE($)
THERE ARE TWOAPpLICATION FIELDS PER PAGE, USE ADDITIONAL PAGES AS NEWED.
PERMIT NUMBER: W00024320 MONTH: 00tober YEAR: 2016
FACILrrY NAME: Rockbridge COUNTY: Wake
Formulas:
OaByLOadi119(inchea)•Iti�luel►APW°dWd�°►)'x0.iao(°udauH�p�IWelxtzpwnnffao0)/Iepmytl(aOro61��a,eeaWuwatovMav°)1 OR .
- �°^n'�FPa°4 (piknal /IMO 8Pm76d (aaTnl a 27,ii2 (9olbnal.aahcA)1
Maximum HDur)y LOaOley (lnttMs) • Paly Lvarq Mtl°a)1 [11tro mbrt°a (mtnl toe) f GO l+ our)1 MOWN Laadlna Ilnahaal ■ a°m ai otlN Lmftm aneh .i
Spray Irftatlon Oporator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Chock Box If ORC Has Changed: 13
Mfyl ORIGINAL and TWO COPIES to: • , • , • , • , • • • • - • ,
DENR :�tarrea egcttFtu>e;gtl a :1; a� lfr N,OI�F-7=ms fE R;
Division of Water Quality8apoargil;upvll tti .Pao
ATTN: Informetlon Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE N .
IBLE CHARfiE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT I$ ACCURATE AND
RALEIGH, NC 27899-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11=05)

NON \`
-DISCHARGE APPLICATION REPORT Pape 14
of 23
SPRAY IRRIGATION SITE(41)
THERE ARE TWO APPLICATION FIELD$ PER PAGE. USE A40TTTONAL PAGES A$ NEEDED.
PERMIT NUMBER. V40024320 MONTH: OdOber YEAR:
2016
FACILrrY NAME: ROckbTitl a COUNTY: Wake
Formu)n:
Daily LO"Mil („eh") - nawm. r va.a Waxa) x o,1$x t +r ap+a11) x u b� 000l! @+t•• IIcnrad ddm, xal Sap (puw kw.o as
p
- vakwo ApOW mans) I w.. OMOd (aee* x 27.112 Woahl aatno):
Lltixlmom Hourty LaaNng (Inches) - Wy L - -v Mdm) I Rha Wwdw (Malls) Tao (4MU:�uoj Mee1b11Y L 1111e Ihldhaa) • sten m Wiy Loedlnps Onoltas)
12 Mdrdh Floating Tom (Imhu) - $Um 0 US
M&MA Lo d„o Wmh@A W4 Prr.bas 11 mom's Nloa* L*6&W (haus)
A—go VftWy LAM Inch- - /Nwnparm nernmat xT d
Did pa on Cur a Ie1A; Mgat)on ur n FNId;
Yes; No: You: No:
•' • FIELO NUMBER: 15a-2FIELD NUMBER 15
AREA $PRAYED acraa : 0.04 AREA SPRAYED acrse : 2.47
• • COVER CROP: Ne COYER CROP: n1a
•' • ' • '
' • ' ' ' ' ' '' :' PEA TTED HOURLY RATE (Inchaa): 0.3 1 PERMITTED HOURLY RATE (Inches):
0.3
p WEATHERCONDITIONS PERMITTED YEARLY RAY$ nehsa : 23.9 PERMITTED YEARLY RATE Indra.:I
37.3
A atorap. Ma><Imum Maximum
T 'r 'L•Psr-axas Loom Vduma Tim* Dally Hourly Volume Time
WII
e Osdr � rearm Pnw1 wine Fn -.band Il.d kdoated LaadMd LA■AtnA ...,n.w �..._W. y_
fi'
wn.,..-�mvusnry s uaumg Imcnes) U :.: 0.00 1 0
12 MOM Floating Toral pnchaa 0.00
ER
• ' 0.OD '
Av6rag9 Weakly Loading pnchaa)0
• : • • : • : • • : : • : .00 0.00
r ar .d •Pa Y. -ol Y R -Mn,
: illcsrL • • set • 0.00
SprOY Irrigation Operator In Responsible Charge (ORC): Dale Mat he..J Phone: 919$81-1056
ORO CertMleation Number. 22794 Check Box If ORO Kee Cha god:
Mall ORIGINAL and TWO COPIES to: . , • , • , . J . • , • , . . , . .
DENR :P itc4A:tlNhdtirre:"%agq:N61MitetiRAf 7=1i tr::
DIVISIon of Vlfatar Quality ;Qiipeil�pd:IipoT�llii9 pips:
ATTN: information Processing Unit (SIGNATURE OF OPERATOR INIRESPONSIIALE CHARGE)•
1617 Mall Service Center BY THIS $IGNATURE• I CpRTIFY THAT THIS REPORT ET ACCURATE AND
RALEIGH. NC 278994617 COMPLETE To THE BEST OF k1Y loxmi-e e.
DENR FORM NOAR•1 (Iit2005)

NON -DISCHARGE APPLICATION REPORT Page 15 of 23
SPRAY IRRIGATION SITE($)
THERE ARE TWO APPLICATION FIELUS PER PAGE. USE ADDITIONAL PACES AS NEEDED.
PEWIT NUMBER: _ W0002020 MONTH: Odober YEAR: 7018
FACILITY NAtAE: Rockbridge COUNTY:
FortnuNtR;
Dally U-dina (Ind-) • IWladbA AW (gg10N) x O.03G (Cubic WQV A" x 12 &W Myl"jj [Ama Sp" (a CM) x 43,8eo (Mug NMMae)l OR
• Vow A(plyp )!Wna SCMs� (saes) x 27152 (OMbndavalnch)]
MrxlmUm HDully Loading pfth*sl • Daly L -ft MCh-s) / [►>t11e lrm*Bd "uw) /so (ar *v_t"e1 Monthly Lading (Mchn) -Sam or ouy Look%$ omdMs)
12 Month R6Wny Total (Inches( -sum of uft ffwa s MomMY LoadkV 6114411 i d xw Al f 11 IMM, Maeniv Iru,,-
Wake
Spray Irrigation Operator In R®a ftible Charge (ORC): Dale MalhewS Phone: [phone]
ORC Certification Number. 2279 Check Box If ORC Has Changed: El
Mail
DENR ORIGINAL and TWO COPIES to: : p( at ctt:>�iir�e:6o iiag� i' of lhis i�1Ft`a;dq lir [tr
Division of VYater Quality(a0eyir8�:dR!+s*•q;i9rgaq®:
ATTN; Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Conter BY THIS SIGNATURE, t CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH. NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE,
DENR FORM NDAR•1 (111=5)

NON -DISCHARGE APPLICATION REPOF
SPRAY IRMGAT10N SITE(S)
THERF ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL, P,
PERMITNUMBER.VM002432o MONTH:
FACILITY NAME: Rod(brid e
Folmugis:
WHY Leading pnc41n1 • iwamr AnpaMt IWNore) xa.l9aa (auric 11atlpYoN x 12 (Y.duanucp] I IA.tia lto.apnd hQgj x
• Vduda,xs�uad (p.ao.a) I Ilwa Sp.aled (aa•a+) YT1.f a Iwlbndvva.a,a.p
Maximum Hourly Loading oab L—ft Mdf.a) I M- impaled owwom) 160 (raaewec,Mi
12 Mpaai 1910Mn2 Tato) (lnchn) • eam arras m*M 1. kw" Onet,ea) and aa,da.•a 11 MMft MGM* Awa t„alls)
AvanpaYwaeklyLwdirlalurJua)•iuo�x.i.(n..r.,mr,�..s.�.�.�„w....:....,�a�...�..__._._...._,..�_..__�
Page 10 of 23
AS NEEDED,
October YEAR; 2016
COUNTY: Wake
Law." +)I OR
qlN LNWIM (inches) - Sum at only Lmmnp jfttm)
SPRAYED
40. / I I PERMITTED YEARLY RATEVnCft44);j 46.7
RXIMUM Maximal
Hourly vbium. Time Dally Hourly
aaaa�aaaa�aa�l�lilaam '�� / 11
IddfitYf!{�gQ 1 1 1 !Y'a�i�Si� i'7YSH'ii'ja'QQ Ll'aa'a�Q / 1 1
Spray IrrlyaUon Operator In Responsible Chart's (ORC); Dale Mathmwsl Phonal _ 919-891-1056
ORC Certification Number. 22784 Check 9qx If ORC Has Chinysd:
Mau ORIGINAL and TWO COPIES to: . , . , . , • , • : ; ; .
dENRa1ic8�tsl,osfta1Lv gs:t;8� t�tJb1►FIt.a
Division of Watst Quality
AM: Information Processing Unit (SIGNATURE OF OPERATOR IN'RESPONSIBLE CHARtM ,
1517 Mail Service Cantor BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATe AND
RALEIGH, NC 27688-1617 COMPLETE TO THE BEST OF MY MCWLEDGE.
DENR FORM NDAR-1 (11/2005)
FIELD HUME
AREA $PRAYED aci
' : •
COVER CF
PERMITTED HOUI
D WEATHER CONDITIONS
PERMITTEDYEAI
A
T >r 1l..nparmar
Volume Time
ECow +b.. Fra.eel d
A..W Irrloau
Page 10 of 23
AS NEEDED,
October YEAR; 2016
COUNTY: Wake
Law." +)I OR
qlN LNWIM (inches) - Sum at only Lmmnp jfttm)
SPRAYED
40. / I I PERMITTED YEARLY RATEVnCft44);j 46.7
RXIMUM Maximal
Hourly vbium. Time Dally Hourly
aaaa�aaaa�aa�l�lilaam '�� / 11
IddfitYf!{�gQ 1 1 1 !Y'a�i�Si� i'7YSH'ii'ja'QQ Ll'aa'a�Q / 1 1
Spray IrrlyaUon Operator In Responsible Chart's (ORC); Dale Mathmwsl Phonal _ 919-891-1056
ORC Certification Number. 22784 Check 9qx If ORC Has Chinysd:
Mau ORIGINAL and TWO COPIES to: . , . , . , • , • : ; ; .
dENRa1ic8�tsl,osfta1Lv gs:t;8� t�tJb1►FIt.a
Division of Watst Quality
AM: Information Processing Unit (SIGNATURE OF OPERATOR IN'RESPONSIBLE CHARtM ,
1517 Mail Service Cantor BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATe AND
RALEIGH, NC 27688-1617 COMPLETE TO THE BEST OF MY MCWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page 17 of 23
SPRAY IRRIGATION SITE(S)
THEREARE TWO APPLICATION FIELDS PER PAGE USE ADDITIONAL PAGES AS NEEDED,
PERMIT NUMBER: VV00024320 MONTH: WOW YEAR: 2016
FACILITY NAME: Rockbrid a COUNTY: Waka
F*nnulaw
Dally Loading pnches) . {UtamyAp (palb:u) x 0,13 E (ado u.uo.aon) x 12 cnme*�eoo01 lM■ ryd (auu) x a,da1(squua tNUaeep oa
-- ' Valunb �ppasd Wekns) / We■ �yaa (noes) xz�,�a2 (piilbee7ave•IndiN
Spray Irrigation Operator In Responsible Chnrgo (ORC): Dale Mathewstylrona: 919-691-1058
ORC Certification Number. 22794 Check Box If ORC Has Changed: ❑
MAIL ORIGINAL and TWO COP199 to: .d . -e :Fo� tN I�DAFi-ti3ri it; R;
DENR :p ea's :!florairYyt:q ay
Oivivion of fttor Quality �apD�+ared.up.h:tl►7s:1�*pg:
ATTN: Information Processing Unit (310NATURE OF OPERATOR IN RP$PONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT T)IIS REPORT IS ACCURATE AND
RALEIGH, NO 27$9$-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-7 (11/2005)

NON -DISCHARGE APPLICATION REPORT Paye 15 of 23
SPRAY IRRIGATION SITE($)
THERE AAE TWO APPUMION FIEIM PER PACE. USE ADMIONAL PAGES AS NEEOED.
PERMITNUMBER: WQ0024320 MONTH: October YEAR 2016
FACILITY NAME; Rockbridge COUNTY: Wake
Formulas:
MYy L*"n9 (IrChas) • Nolwr»Apprea m.gnu) x 0.13 0 (aaob.rq.en} y 1t d 91 r ( BDnre4 sa�ea AW. taw oell on
-Vok+aAWWWb-)rwe.ep•„d(bee)x27.152rSWW44 Fkw"l
r 2jdffl m Hovdy Loaam9 Pasha) • O.h►m�eko P�«�I l [n^y IMbMad 4mu / 59 (mil+Reamou0) MoNNy Loadlna (H1eMs) • B+�m 6lD+Ih R+ P" +!
12 McMh P164TIp TO/a WWMh) . Bum V to mmr■ Mw" Wfdnu anches) rid pnvbm 11 rrmfes uamtoy ie+dkw amhe
AV L hp - )rNnprof Intlrmoeaa
x7
Di on GUr 10 :Tlphgon u7 n Thi#
YM: . M NO: 141 Y—. n u...
D WEATHERCONomDNS
A fionn.
T• 1 .117W...
lapeal
E — IN &PPOGRaw PWi t.4W FmFbW
1
12 Month
Volume I Tim
$Pray Irrigation Operator In Responsible Charge
RATE
Hourly 11 Vbluma I Time Dally I Hourly
Dale
4RC Certification Number. 22794Cheek Box If ORC Nos Chang:13
Phone: [phone]
Mall ORIGINAL and Two COPIES to: • • , . :.. .
DENR :f?k+dgC eLC�gytt $Ig}ia2uTe:gd ¢eta l� 01 thbi fll]1�1i-y �atE 71: h;
Dhdslon of Water Quality ;e>ap°7rl0�:�pq+h;ttii►;piga:
ATTN: Information Processing Unit
M911 (SIONATlIHE OF OPERATOR IN RESPOt15lULE CHARGE)
RAL NO • .
O 27 Center BY THIS SIGNATURE. I CERTIFY THAT THIS REPORT IS ACCURATE ANQ
RALEIGH, N699-iQ1T COMPLETE TO THE BEST of raY KwmLEDGE.
OENR FORM NDAR-1 (11)2005)

NON -DISCHARGE APPLICATION REPORT Page 19 o1 Zs
SPRAY IRRIGATION S(TE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. U$EADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER. W00024320 MONTH: October YEAR: 2016
FACILITY NAME: Roftdd a COUNTY: Wake
Formulas:
Dally Le"110 0ndwa) • l��xa 1yppNad (pNnns) Y 0.7�]Q (c mic r.upusrn} x 12 lr m eyuarA Wn+ yOflYan Uaa),c�f.aea (aqu■fl NMkwell OR
• V0ZmllWW (92RMs) I tve■ sp.yw gam) x 21.1 U (QWbfMfLtraMh1] .
Mrxlmum Hourly L6hdlaa Dncftn) • o■ry LooOyp ( �l 1 i.IpNad pmnulml r ea (m4luteamou�t uo,d fd . L—d1— n... h-1
Spray Ih1Qation Operator in Responsible Charge (ORC): Dale Mathews Phone: [phone]
LRC CerfNlcation Number. 22794 Chock Bax H ORC Has Changed: 11
Mail ORIGINAL and TWO COPIES to:
DENR pg 81:C1it,�Iiu�j;gsS�s��� NO%1F•��Ats fR R;
Division of Wabr quality ; ; 'SI�D�dt9A:uD0h•CilS�pgpa:
ATTN: Infonnatlan ProCessing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHAR04 ,
1817 Mail Service Center BY THIS SIGNATURE, l CERTIFY YHAT THIS REPORT IS ACCURATE AND
RALEIGH. NC 27699.1817 COMPLETE TO THE BESTOF MY KNOWLEDGE.
DENR FORM NDAR-1 (IM003)

NON -DISCHARGE APPLICATION RE
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE, USE ADDITIC
PERMIT NUMBER VV00024320 MO
FACILITY NAME: _ Rockbridge
Formulas: —
Daky L -ding (HIM") . (wwxn. �pp-kd iwnorr:I x alsx {wtie beVaaooro x is (rq,�utnwl � IMaa sp'-yie i
' VvMneAOPifed (7a�1 f (Mea tip.yw (xu-a) x27.102 faa�l
Maximum Hourly Loadlno (Inehea) - 0
-1r L"*q (ktt ) I rima mmod (mkxEex) I ep fMk0"fuM
12 Month FFoatlrtip Total {krchp)
-SUM o11%morns M-4 L> MYq QrKt M) and WrAno 11 mwMh Mami,y Lo**"
AVVW hq - INUMIMd Indo F= xf
T
I n cur un
Yea: n No: 141
Page 20 of 23
PAGES AS NEEDED.
October YEAR: 2016
COUNTY: Wake
x 43,WO (squ*p (#Waae)I an
M*WWyLe•dkry(kWw) .sum nrDtrrL0.wQn0n*.)
PERMITTED HOURLY RATE
Dolly------- _'
..— I
allyI Hourly I Voluow I Tlme I Dally I Hourly
v-• wmvrruny raaolng pocnean U - - nnn - -
12 Month Floavng Totlll (Inch . 000 O 0.00
AVaraC4 Wookly Loading (Inches) : • : • : • : : • :• • ; : • 0,00
!M -4w es. Ifat, bra cloudy, ' y, R�aln, ninow. •1•a • 0.00
Spray IMgation Operator In Responsible Charge (ORC); Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Che0k Sox If ORC Nps Cfl singed:
Mall ORIGINAL and TWO COPIES to:
VELAR :� arc �sigtidk}Ao do S A ;1: b(l�its tdullF 7faits 3� 3:
01vfslon of Water quality �a�pv3,red;tiporntli+B�pagi;
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLQ CHARGE) • jy�
1617 Hall Soryice Canter BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617, F, TO THE BEST OF M1Y KNOWLEDGQ,
OENR FORM NDAR_1 (11 12045)
FIELD NUMBER
AREA' SPRAYED acme
COVER CROP
PERMITTED HOURLY
D WEATHER CONDITIONS
PERMITTED YEARLY
A
T ' 7ema...h■� L
Volume Tlme
E cad' ,da nnidoe Mtl m Frft4*ftd
Appll*d Irrloabd
Page 20 of 23
PAGES AS NEEDED.
October YEAR: 2016
COUNTY: Wake
x 43,WO (squ*p (#Waae)I an
M*WWyLe•dkry(kWw) .sum nrDtrrL0.wQn0n*.)
PERMITTED HOURLY RATE
Dolly------- _'
..— I
allyI Hourly I Voluow I Tlme I Dally I Hourly
v-• wmvrruny raaolng pocnean U - - nnn - -
12 Month Floavng Totlll (Inch . 000 O 0.00
AVaraC4 Wookly Loading (Inches) : • : • : • : : • :• • ; : • 0,00
!M -4w es. Ifat, bra cloudy, ' y, R�aln, ninow. •1•a • 0.00
Spray IMgation Operator In Responsible Charge (ORC); Dale Mathews Phone: [phone]
ORC Certification Number: 22794 Che0k Sox If ORC Nps Cfl singed:
Mall ORIGINAL and TWO COPIES to:
VELAR :� arc �sigtidk}Ao do S A ;1: b(l�its tdullF 7faits 3� 3:
01vfslon of Water quality �a�pv3,red;tiporntli+B�pagi;
ATTN: Information Processing Unit (SIGNATURE OF OPERATOR IN RESPONSIBLQ CHARGE) • jy�
1617 Hall Soryice Canter BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617, F, TO THE BEST OF M1Y KNOWLEDGQ,
OENR FORM NDAR_1 (11 12045)

NON -DISCHARGE APPLICATION REPORT Page 21 of 23
SPRAY IRRIGATION SITE($)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL. PAGES AS NEEDED.
PERMri NUMBER: WQ0024320 MONTH: October YEAR 2016
FAf,ILI TY NAME: Rockbddpe COUNTY: Wake
Fvrmufaa:
DaNY Loading (fr dm) • I �m+Appxatl (pa5aru) x 0.1376 (wblc maup ion) x 12 ¢Akeuuan) r [ + Spam row) x47,NO @dura ftwa")j On
Wk—APOft$)1 IA— 8MVW (Ww) x27.$52 (p OM&No kmh))
Maximum Hou.1y Loading (Inthm) •nay Ladino plaC pnrhm) r f> ( omkuhl) "o (mlkuresmou)l Mordhhr Lona grwheak Sum m omw rewann..� . wa,
Splay Irrigatlon Operator In Responsible Charge (ORC): Dale Mathews Phone: [phone]
ORO Certification Number: 22794 ' Check Box If ORO Figs Changed: 13
Mall ORIGINAL and TWO COPIES to: • , . , . , . � • , • , . . , • . ; .
DENR :�tsiarsA et ,ci(t 3ti>re:od ¢ai$q l ei tfkiti AipAfj-7 /a ]ii C�
Dlvlstgn of Water Quality ' �BRDlIti6tl;upap;t�il9•,i�fl�:
ATTN: Informatlon Processing !Unit (SIGNATURE OF OPERATOR N RESPONSIBLE CHARGE). .
1817 Mall Ssrvlce Center BY THIS SIGNATURE, I CERTIFY THAM THIS REPORT IS ACCMATE AND
RALEIGH, NC 27594-1517 COMPLETE TO THE RP$T OF MY KNOWLEDGE,
DENR FORM NDAR-1 (11!!005)

NON -DISCHARGE APPLICATION REPO
SPRAY IRRIGATION SITE($)
THERE ARP TWO APPLICATION 4£1_DS PER PAGE. USE APDRIONAL
PERMIT NUMBER. VV00024320 MONTH:
FACILITY NAME! Rockbridge
Femlulss:
nuyr Lwdlnlg llMnas) • IWC APpyed QWWS) x 0.13'M (4;ft bVIgaWn) x 12 pnd*WON01 /JAM epar ad (w")
' VpMrneAppkd (pawn67 g Nr� tiw+red cacn.) x X7,1 S2 (wspmrn.anm)J
M&x5mum Hn+uly L**Mnp gneh"°) ' °.y 4o(rdkip (hdronl r Inrr.Imprp (n7rx+roe) r w (oYnrtr,> 4]
12 Monffi Floating Tbul (inches) . Sum m Mfs momht sramry tmmrp afttma) and pre%dorm 11 momhb Momly Lotl'+ pi (Indra
AVtw6a YUsridr Leradtne 1Ytih..1 . ru.,..... � ....•... ,e.,,...........�. �....._..__ � �_.._ .... .. _. .... _
FIELDNUMBKR; 1$
AREA SPRAYED news : 1.41
COYER CROP; N0
PERMITTED HOUKY RATE (inches): 0.2
D WEATHER C.)NDn'IONS PF"ITfED YEARLY DATE nches • 13.8
A saga(» Mulmu!
7 r Tftpra h" Lipoon Volume Th" Dally Hourly
E cow lfflapok,5ml yr a aabn rrwnwra Applied lrrloeted I Lo■d)nn 1 —.41—
.50
((�MBEMM
AS NEEDED.
Page 22 of 23
YEAR: 2016
COUNTY: Wake
I.Rd (.Wr fteAM)l OR
° Y L SO pnchss) -sun m °rN 4nQ w wCh.)
Spray Irrigation Operator In Responsible Charge (ORC): Dale Mathew Ia Phone: [phone]
ORC Certification Number: 22794 Check Box If ORC Has C118n8ed: El
Mall ORIGINAL, and TWO COPIES to:
DENR :F.11 pi cbj�;El ygp:00 Gaga.FOil t(1Gi tL; .
Division of Water Quality =al.+pa i d:dp�ntlti$:1)a¢a;
AiTN: Intorfrwtlon Processing Unit (SIGNATURE OF OPERATOR 1N RESPONSIBLE CHARGE)
1617 MailNC 27 Center 898-1617 BY THIS SIGNATURE, I CERTIFY THAT THIS RePORT 15 ACCURATE AND
RALEIGH/ NC 27COMPLETE TO THE GEST OF MY KNOWLE000-
DENR FORM NOAR_1 (11 /2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page 23 of 23
Please note, the temperature indicated "at time of Irrigation" is the lowest temperature recorded on that date by our automated control system. This is
used as most of "fields" are comprised of multiple "control zones" that may operate at different tines during a 24-hour period.
Faclift S tus-
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been ogmolimnt
with the following permit requirements; (Note., if a requitement does not apply to your /orality put (NA) fn the
compliant box. )
Com Ilant N
1. The application rate(s) did net exceed the limit(s) specified In the permit y
2. Adequate measures Wore taken to prevent wastewater runoff from the trite(*).
3. A suitable vegetative cover was maintained on the *[We) In accordance with the permit.
4. All buffer zones as specifled In the permit were maintained during each application. L,
3. The freeboard In the treatment and/or storage lagoon(a) was not less than the limit(s)
speclfled In the permit.
If the facility is non-compliant please explain to the space below the reason(*) the facility was not In compliance with its
permit. Provide In your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
4 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directty responsible
for gathering the information, the information submitted is, to the boat of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines
and impriso ment forknowing violations,"
Janco R Butler
(SI nature of Permittee)" Date (Name of Signing Official -Please print or type)
KRJ, Inc.
(Permittee -Please print or type)
P O Box 2369
Swanaboro NO 286U-2369
(Pernittes Address)
_ Authorized Agent of Permittee
(Position Or Title)
252.383.8582
(Phone Number)
• Ir slgnSd by other ehAkn the permi"44, delegation or Signatory sufnorigr must be *n file veth the Mate per 15A NCAC 20_050e (b)(2)(0).
6/30119
(Permit Exp. Date)
DENR FORM NDAR-1 (1112005)